Individual provider Active NPI

Nina Kahyoh Govalla, MD

  • Psychiatry Physician
  • El Paso, TX
National Provider Identifier
1366016404
Registry record updated Sep 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD210002692 Issued in DC
Practice address
12189 April Ruth Way
El Paso, TX 79936-7853
Phone
(302) 497-3749
NPI assigned
May 13, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD210002692 DC Primary
Psychiatry Physician 2084P0800X R78603 AZ

Addresses

Primary practice location

12189 April Ruth Way
El Paso, TX 79936-7853

Mailing address

12189 April Ruth Way
El Paso, TX 79936-7853

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, NY, TX3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20230310000506 DC Practitioner - Psychiatry 0840691275 Reassigns benefits to 2 organizations
I20251216002166 NY Practitioner - Psychiatry 0840691275 Reassigns benefits to 1 organization
I20260409000962 TX Practitioner - Psychiatry 0840691275 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Missouri, Kansas City, School of Medicine, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

PO Box
New York, NY 10087

Merit-based Incentive Payment System (MIPS)

Final score
89.92 of 100Reported as group
Quality
75.35
Improvement activities
40
Cost
89.52

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD210002692DCMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
MCCD FL Psychiatry Services PA Psychiatry CurrentSince Oct 9, 2025 Accepting new patients
Wisconsin Ave Psychiatric Center Inc Psychiatry CurrentSince Jan 20, 2023 Accepting new patients
MCCD Psychiatry Services PLLC Psychiatry CurrentSince Oct 9, 2025 Accepting new patients

Locations

1500 K St NW
Fl 2
Washington, DC 20005
Phone (212) 287-4257

1775 I St NW
Ste 1150
Washington, DC 20006
Phone (202) 313-7696

4228 Wisconsin Ave NW
Washington, DC 20016
Phone (202) 885-5600

109 W 27th St
#55
New York, NY 10001

109 W 27th St
Rm 5S
New York, NY 10001
Phone (332) 230-4572

3223 S Loop 289
Ste 600
Lubbock, TX 79423
Phone (405) 314-0960

2800 Eisenhower Ave
Ste 220
Alexandria, VA 22314
Phone (540) 358-0423

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1620864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788480000000",
    "number": "1366016404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12189 APRIL RUTH WAY",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799367853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12189 APRIL RUTH WAY",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799367853",
            "telephone_number": "302-497-3749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOVALLA",
        "first_name": "NINA",
        "middle_name": "KAHYOH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-13",
        "last_updated": "2026-09-04",
        "certification_date": "2026-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "DC",
            "license": "MD210002692",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AZ",
            "license": "R78603",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.